Protocols for Clinical Registry Extraction and Data Submission (CREDS) IG
1.0.0-ballot - STU1 United States of America flag

This page is part of the Protocols for Clinical Registry Extraction and Data Submission (CREDS) IG (v1.0.0-ballot: STU1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

: CREDS Submission Bundle Example - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="CREDSBundle-Example"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/registry-protocols/StructureDefinition/CREDSSubmission"/>
  </meta>
  <type value="collection"/>
  <entry>
    <fullUrl value="urn:uuid:a4bab684-4bc2-43b7-82a0-199034a5a5b2"/>
    <resource>
      <MessageHeader>
        <id value="CREDSMHExample"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MessageHeader</b><a name="CREDSMHExample"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource MessageHeader &quot;CREDSMHExample&quot; </p></div><p><b>event</b>: <code>urn:uuid:26aa1208-589a-4978-9cb7-728cc51520aa</code></p><p><b>sender</b>: <a href="Organization-VeterinariansHospital.html">Organization/VeterinariansHospital</a> &quot;Veterinarian's Hospital&quot;</p><p><b>enterer</b>: <a href="Practitioner-USCorePractitionerexample.html">Practitioner/USCorePractitionerexample</a> &quot; BONE&quot;</p><h3>Sources</h3><table class="grid"><tr><td>-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td>*</td><td>CREDS Implementation #2</td><td><a href="https://example.org/fhir">https://example.org/fhir</a></td></tr></table><p><b>reason</b>: Discharge <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-message-reasons-encounter.html">Example Message Reason Codes</a>#discharge)</span></p><p><b>focus</b>: <a href="#Patient_261989c3-688c-4941-b767-d8d4c871217c">See above (Patient/261989c3-688c-4941-b767-d8d4c871217c)</a></p></div>
        </text>
        <eventUri value="urn:uuid:26aa1208-589a-4978-9cb7-728cc51520aa"/>
        <sender>
          <reference value="Organization/VeterinariansHospital"/>
        </sender>
        <enterer>
          <reference value="Practitioner/USCorePractitionerexample"/>
        </enterer>
        <source>
          <name value="CREDS Implementation #2"/>
          <endpoint value="https://example.org/fhir"/>
        </source>
        <reason>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/message-reasons-encounter"/>
            <code value="discharge"/>
          </coding>
        </reason>
        <focus>
          <reference value="Patient/261989c3-688c-4941-b767-d8d4c871217c"/>
        </focus>
      </MessageHeader>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:261989c3-688c-4941-b767-d8d4c871217c"/>
    <resource>
      <Patient>
        <id value="261989c3-688c-4941-b767-d8d4c871217c"/>
        <meta>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/instance-name">
            <valueString value="Patient Example"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/instance-description">
            <valueMarkdown
                           value="This is a patient example for the *US Core Patient Profile*."/>
          </extension>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Patient</b><a name="261989c3-688c-4941-b767-d8d4c871217c"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Patient &quot;261989c3-688c-4941-b767-d8d4c871217c&quot; </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-patient.html">US Core Patient Profile</a></p></div><blockquote><p><b>US Core Race Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: White (Details: urn:oid:2.16.840.1.113883.6.238 code 2106-3 = '2106-3', stated as 'White')</p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: American Indian or Alaska Native (Details: urn:oid:2.16.840.1.113883.6.238 code 1002-5 = '1002-5', stated as 'American Indian or Alaska Native')</p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: Asian (Details: urn:oid:2.16.840.1.113883.6.238 code 2028-9 = '2028-9', stated as 'Asian')</p><blockquote><p><b>url</b></p><code>detailed</code></blockquote><p><b>value</b>: Shoshone (Details: urn:oid:2.16.840.1.113883.6.238 code 1586-7 = '1586-7', stated as 'Shoshone')</p><blockquote><p><b>url</b></p><code>detailed</code></blockquote><p><b>value</b>: Filipino (Details: urn:oid:2.16.840.1.113883.6.238 code 2036-2 = '2036-2', stated as 'Filipino')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Mixed</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: Hispanic or Latino (Details: urn:oid:2.16.840.1.113883.6.238 code 2135-2 = '2135-2', stated as 'Hispanic or Latino')</p><blockquote><p><b>url</b></p><code>detailed</code></blockquote><p><b>value</b>: Dominican (Details: urn:oid:2.16.840.1.113883.6.238 code 2184-0 = '2184-0', stated as 'Dominican')</p><blockquote><p><b>url</b></p><code>detailed</code></blockquote><p><b>value</b>: Mexican (Details: urn:oid:2.16.840.1.113883.6.238 code 2148-5 = '2148-5', stated as 'Mexican')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Hispanic or Latino</p></blockquote><p><b>US Core Birth Sex Extension</b>: F</p><p><b>identifier</b>: Medical Record Number: 1032702 (use: USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Amy V. Shaw (OLD), Amy V. Baxter </p><p><b>telecom</b>: ph: 555-555-5555(HOME), <a href="mailto:amy.shaw@example.com">amy.shaw@example.com</a></p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1987-02-20</p><p><b>address</b>: </p><ul><li>49 Meadow St Mounds OK 74047 US (OLD)</li><li>183 Mountain View St Mounds OK 74048 US </li></ul></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2106-3"/>
              <display value="White"/>
            </valueCoding>
          </extension>
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="1002-5"/>
              <display value="American Indian or Alaska Native"/>
            </valueCoding>
          </extension>
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2028-9"/>
              <display value="Asian"/>
            </valueCoding>
          </extension>
          <extension url="detailed">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="1586-7"/>
              <display value="Shoshone"/>
            </valueCoding>
          </extension>
          <extension url="detailed">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2036-2"/>
              <display value="Filipino"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="Mixed"/>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2135-2"/>
              <display value="Hispanic or Latino"/>
            </valueCoding>
          </extension>
          <extension url="detailed">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2184-0"/>
              <display value="Dominican"/>
            </valueCoding>
          </extension>
          <extension url="detailed">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2148-5"/>
              <display value="Mexican"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="Hispanic or Latino"/>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
          <valueCode value="F"/>
        </extension>
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
              <display value="Medical Record Number"/>
            </coding>
            <text value="Medical Record Number"/>
          </type>
          <system value="http://hospital.smarthealthit.org"/>
          <value value="1032702"/>
        </identifier>
        <active value="true"/>
        <name>
          <use value="old"/>
          <family value="Shaw"/>
          <given value="Amy"/>
          <given value="V."/>
          <period>
            <start value="2016-12-06"/>
            <end value="2020-07-22"/>
          </period>
        </name>
        <name>
          <family value="Baxter"/>
          <given value="Amy"/>
          <given value="V."/>
          <suffix value="PharmD"/>
          <period>
            <start value="2020-07-22"/>
          </period>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="555-555-5555"/>
          <use value="home"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="amy.shaw@example.com"/>
        </telecom>
        <gender value="female"/>
        <birthDate value="1987-02-20"/>
        <address>
          <use value="old"/>
          <line value="49 Meadow St"/>
          <city value="Mounds"/>
          <state value="OK"/>
          <postalCode value="74047"/>
          <country value="US"/>
          <period>
            <start value="2016-12-06"/>
            <end value="2020-07-22"/>
          </period>
        </address>
        <address>
          <line value="183 Mountain View St"/>
          <city value="Mounds"/>
          <state value="OK"/>
          <postalCode value="74048"/>
          <country value="US"/>
          <period>
            <start value="2020-07-22"/>
          </period>
        </address>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:ba651db0-7b10-4465-a5c4-411ced9e8254"/>
    <resource>
      <Encounter>
        <id value="CREDSEncounter"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Encounter</b><a name="CREDSEncounter"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Encounter &quot;CREDSEncounter&quot; </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-encounter.html">US Core Encounter Profile</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'null')</p><p><b>type</b>: 99201 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-CPT.html">Current Procedural Terminology (CPT®)</a>#99201)</span></p><p><b>subject</b>: <a href="#Patient_261989c3-688c-4941-b767-d8d4c871217c">See above (Patient/261989c3-688c-4941-b767-d8d4c871217c)</a></p><h3>Participants</h3><table class="grid"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href="Practitioner-USCorePractitionerexample.html">Practitioner/USCorePractitionerexample</a> &quot; BONE&quot;</td></tr></table><p><b>period</b>: 2020-10-01 17:00:14-0500 --&gt; 2020-10-01 18:00:14-0500</p><h3>Locations</h3><table class="grid"><tr><td>-</td><td><b>Location</b></td></tr><tr><td>*</td><td><a href="Location-Enc-location.html">Location/Enc-location</a> &quot;North Wing of Veterinarian's Hospital&quot;</td></tr></table></div>
        </text>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="AMB"/>
        </class>
        <type>
          <coding>
            <system value="http://www.ama-assn.org/go/cpt"/>
            <code value="99201"/>
          </coding>
        </type>
        <subject>
          <reference value="Patient/261989c3-688c-4941-b767-d8d4c871217c"/>
        </subject>
        <participant>
          <individual>
            <reference value="Practitioner/USCorePractitionerexample"/>
          </individual>
        </participant>
        <period>
          <start value="2020-10-01T17:00:14-05:00"/>
          <end value="2020-10-01T18:00:14-05:00"/>
        </period>
        <location>
          <location>
            <reference value="Location/Enc-location"/>
          </location>
        </location>
      </Encounter>
    </resource>
  </entry>
</Bundle>